Provider Demographics
NPI:1891094082
Name:LITT, KATHRYN MARIANA (MD)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:MARIANA
Last Name:LITT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KAYTHRYN
Other - Middle Name:MARIANA
Other - Last Name:RIVERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1 SEAGATE
Mailing Address - Street 2:# 800
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1558
Mailing Address - Country:US
Mailing Address - Phone:567-585-1969
Mailing Address - Fax:419-824-7359
Practice Address - Street 1:3740 W SYLVANIA AVE
Practice Address - Street 2:# 103
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-4461
Practice Address - Country:US
Practice Address - Phone:419-473-6622
Practice Address - Fax:419-476-6627
Is Sole Proprietor?:No
Enumeration Date:2011-03-27
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35126600207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0126123Medicaid
OHH384671Medicare PIN